NPI | 1982979019 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: CA A126697) |
Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: AZ 61499) |
Enumeration Date | 2012-03-22 |
Last Update Date | 2024-12-09 |